鼻性頭蓋内合併症の3例 Three Cases of Rhinogenic Intracranial Complications

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We have encountered three cases of rhinogenic intracranial complications in the last two years. Case 1: A 17-year-old male had a subdural abscess secondary to acute sinusitis. He had right eyelid swelling (orbital cellulitis) and a frontal subcutaneous abscess. The transfrontal approach (Killian's method) and endoscopic sinus surgery (ESS) were carried out under general anesthesia. Drainage of the subdural space and 6 sessions of hyperbaric oxygen therapy were performed after the surgery. Case 2: A 14-year-old male had a brain abscess secondary to acute sinusitis. He exhibited severe headache and vomiting. Drainage of the subdural space did not improve the symptoms. He was then treated with ESS 9 days after the drainage. Case 3: An 18-year-old male had meningitis and a subdural abscess secondary to acute sinusitis.<br>He had severe frontalgia and palsy of the left lower leg. ESS was carried out immediately. Hyperbaric oxygen therapy was performed 8 times after the surgery. The subdural abscess disappeared without any neurosurgical drainage. All cases were treated successfully without any complications. Careful observation, prompt diagnosis, and early surgical treatments are required to prevent excessive morbidity and mortality. ESS should be the first choice for the treatment of sinusitis with rhinogenic Intracranial complications.

収録刊行物

  • 耳鼻咽喉科臨床

    耳鼻咽喉科臨床 95(5), 473-479, 2002-05-01

    The Society of Practical Otolaryngology

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各種コード

  • NII論文ID(NAID)
    10008382687
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00326313
  • NDL 記事登録ID
    6154808
  • NDL 雑誌分類
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL 請求記号
    Z19-421
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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